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SITE ADDRESS <br />LEGAL ? T NOO. <br />DESC. 4 � <br />� _. <br />P�RMIT �4PPLIC,'�TIOnI <br />CITY OF EVERETT PERMIT �ERVICES <br />3200 CEDAR STREET, EVERET', Vt�A 98201 <br />425-257-8810 — FAX 425-257-8857 <br />%� j� <br />TBLpCI( <br />PARCEL TAX I.D. # <br />�o� 9 ;�10� <br />TRACT <br />Geg,o.t Pq2rc SJ,� 7 <br />ZIP PHONE — <br />(�.l�ti{s��� �-(��Lr��.l zSc�`i �7h' S i 9`a7�( `�t�"zSv 8`�3t <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />� ✓�one. _ I �.A.�i� /��U�zi�Dv.L yZi ZSq 13�� <br />CONTRACTOR ADDRESS <br />�/� G� tr � L �J (j J�,p�, G� S ZIP CONTR. LICENSE # <br />PHCNE <br />_ �17� ZS� i 3 i � <br />PROPOSED USE OF BUILDING I <br />�i c�..aS � I <br />CONTRACT PP,!r.F. OF WORK <br />WORK DESCRIPTION <br />Building <br />PERhiIT Combination <br />7YPE Dem01iti0n <br />Sprinkl?r <br />Mechanical <br />Plumbing WORi <br />��i9� TYPE <br />�Rc.��G=-o9�TM <br />�ddition HEATSOJRCE <br />Alteration Electnc <br />ew Gas <br />RepaidMaint. Other <br />CITY OF EVERETT LOCAL �ALES TAX �ODE IS 310G <br />DQ-iac�.,� i�.4rc�� �tito.��4y�« ��� <br />N0. I TYPE OF FIXTURE OR ITEM <br />I — WATER CLOSET (TOILET) <br />'3ATHTUB <br />� LAVATORY (WASH BASIN) <br />__ISHOWER <br />KITCHEN SINK & DISFOSAL <br />DISHVJASHER <br />_ LAUNDP,YTRAY <br />i _ CLOTHES N'ASHER <br />URINAL <br />I _ DRIMKING FOUNTAIN <br />i_ FLOOR DRAIN <br />BACKFLOW PREVENTER <br />i = SINK (SERVICE�BAR/MCP/ETC.) <br />OTHER <br />I —� — <br />N0. � YYpE OF FIY.TURE OR ITEM <br />_ Fl/G-A/H,INDLINGUNITS <br />_ FORCED AIR SYSTEMS <br />_ HEATPUMP <br />_ UNIT HEATERS <br />CLOTHES DRYER <br />_ RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />_ _ GAS PIPING <br />_ ��HAUSI" FA�! <br />OTHER <br />t HEREBY CERITIFY THAT I HAVE READ AND EXAb11NED THIS APPLICqTiON AND K,NOW THE SAME TO BE TRUE AND CORRECT. ALL <br />�ROVISIO�JS OF LqWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL 9E COMPLIED WITH WHETHER SPECIFIED f1ERFIN OR <br />IJOT. THE GRANTING OF q PERMIT DOES NOT PRESUME TO GIVE AUTHORIN TO VIULATE OR CANCEL THE PROV:SION OF ANY OTHER <br />STA7E OR LOCAL l.qW REGUTATIN� CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF?HIS PROPERTY TO PERFORM 7HE WORK FOR WHICH APPLICATION IS MADE AND I COhiPLY WITH THE STATE <br />CONTRACTORS LAW 70.2; RCW AND 296.200 WAC. <br />_ � .�-> .%.. �-�--•- i / - Zz��, <br />,..�.... „y�� �, uace ^ <br />DEBIT & CREDIT GARDS ARE �!OT ACCEPTED �L�� <br />